Staff Clinician

A Staff Clinician is a NIH employee generally appointed to a time-limited, renewable position, or in extremely rare situations, to a permanent appointment (for retention or recruitment purposes) - individuals whose salary levels are at or above Executive Schedule IV (EX-4) are placed in indefinite appointments. A Staff Clinician is a physician or dentist who spends the majority of their time providing critical patient care services and is expected to provide clinical leadership and the highest level of clinical care. Under the supervision of a Senior Investigator, a Staff Clinician may also be the principal investigator on a clinical protocol.

Traditionally, candidates for Staff Clinician appointments possess the following criteria:

Board-eligible or board-certified in his/her area of expertise

Provides superior and efficient clinical care

Works collaboratively to facilitate the conduct of clinical investigations

Supports the clinical infrastructure by serving on important clinical committees

Supports clinical training programs

Shows excellence in clinical teaching activities

Spends the majority of time in these clinical activities

Staff Clinicians do not receive independent resources to conduct independent laboratory or clinical research. However, the Institute or Center (IC) may provide resources for research on a case-by-case basis. Such research must be sponsored and supervised by a tenured or tenure-track Investigator and undergo review by the Board of Scientific Counselors (BSC).

Staff Clinician 2 is a designation for individuals who, based on their clinical specialty and credentials, require salaries above Executive Level IV. Staff Clinician 2 appointments should be rare. The designation is reserved for individuals who not only fulfill the definition above, but also possess the following HHS-required scientific and/or clinical criteria:

Recognition as a national or international expert in the field, such as: specific experience (e.g., board certification); invited manuscripts, presentations and/or consultations; receipt of honors and awards or other recognition for noteworthy performance of contributions to the field

Original clinical, scientific, or scholarly contributions of major significance in the field (e.g., grand rounds presentations)

Leadership in the field (e.g., attending physician or chief resident, member of institutional committee such as IRB)

Special knowledge and skills of benefit to the IC or NIH (e.g., high programmatic demand at NIH for the medical specialty)

In 2016, in order to more fully reflect the varied and vital roles that NIH physician-scientists have, such as providing highly specialized clinical care or leading complex patient-care teams to carry out complicated research trials, the IRP has created new position levels: Assistant Research Physician, Associate Research Physician, and Senior Research Physician. The official NIH Intramural Professional Designation (IPD) will remain "Staff Clinician."

A Staff Clinician (1 and 2) is a Full-Time Equivalent Employment (FTE) position.

Approvals (Process)

Staff Clinician 2 must first go through the Title 5 exhaustion process, established through the Office of Human Resources (OHR). If a suitable candidate is selected, then the individual must be reviewed and recommended by the NIH Clinical Compensation Panel (NCCP) and approved by the DDIR. If a suitable candidate is not selected through the Title 5 exhaustion process, as certified by OHR and approved by the NIH Principal Deputy Director, then the recruitment of a Title 42(f) candidate can continue. All Staff Clinician 2 appointments are made following peer review and recommendation by the NCCP and approval by the DDIR. This committee is chaired by the DDIR.

Depending on salary level and other pay components proposed, review and approval is required from both the IC Title 42 Standing Committee and the NCCP. Please consult the Title 42 Pay Model for additional information. Additional approvals may also be required for salary levels under specific appointment mechanisms, including Title 5 with Title 38 Pay and Title 42.

For clinical credentialing, an additional approval must be received from the Director, CC (or delegate) after recommendation by the Clinical Center (CC) Credentials Committee and the Medical Executive Committee (MEC). For further information, please contact the Office of Credentialing Services, Clinical Center (OCS/CC) at cc_ocs@mail.nih.gov or 301-496-5937.

Check Sheets / Checklists

Below are the check sheets and checklists that have been developed and approved by the DDIR for the Staff Clinician designation.

Ethics

Intramural scientists at the NIH, as is true for all scientists, should be committed to the responsible use of scientific tools and methods to seek new knowledge. While the general principles of scientific methodologies are universal, their detailed application may differ in various scientific disciplines and circumstances. All research staff in the Intramural Research Program should maintain exemplary standards of intellectual honesty in formulating, conducting, presenting, and reviewing research, as befits the leadership role of the NIH.

Within the NIH IRP, the ethical conduct of researchers is governed by the following three disciplines:

Sample documents, including the role of various committees and/or the IC SD in the recruitment evaluation process, as well as sample letters for solicitation of recommendations are available for review from the Check Sheets and Checklists section above.

Renewals

Staff Clinician renewals must follow the policies and processes appropriate to the specific appointment mechanism.

Resources

A Staff Clinician is not granted independent resources by their Institute.

Termination

Termination of a Staff Clinician appointment must follow the policies and processes appropriate to the specific appointment mechanism.